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Search › California › 225200000X

Susan Wise

NPI 1225291263 · on the registry since 2008 · sole proprietor

Practice

Address
4252 Bonita Rd
#306
Bonita, CA 91902
Phone
(505) 860-7065
Organisation at this address
Atlantic Express Co Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California